Request for Reconsideration of Library Materials
North Metro Technical College
Please check type of material:
( ) Book ( ) Video/DVD ( ) CD
( ) Periodical ( ) Audio Cassette
( ) Other ________________
Title____________________________________________________________________
Author__________________________________________________________________
Publisher/Producer________________________________________________________
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Request initiated by____________________________________________________
Student #___________________________________
Address_________________________________________________________________
City__________________________State_______________Zip Code_____________
Telephone_____________________________________________________________
Complainant represents:
Self__________
Organization (Name)__________________________
Group (Identify)_____________________________
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The following questions are to be answered after the complainant has read, viewed, or listened to the library material in its entirety. If sufficient space is not provided, attach additional sheets. Please sign your name to each additional attachment.
1. To what in the material do you object? Please be specific, cite pages, frames in DVD, video sequence, etc.
2. What do you believe is the theme or purpose of this material?
3. What do you feel might be the result of a patron using this material?
4. Is there anything of value in this material? Please comment.
5. Would you care to recommend other library material on the same subject and in the same format?
___________________________________________________________
Signature of Complainant
___________________________________________________________
Date
Please return completed form to the Library within ten days.
challenged materials
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